Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.19 / $70.69 / $150.53	Facility	26	$21.19	$70.69	$150.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $133.41 / $133.41	Professional		$122.23	$133.41	$133.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $142.11 / $226.43	Professional		$125.85	$142.11	$226.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $115.02 / $579.76	Professional		$66.84	$115.02	$579.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $167.17 / $323.57	Professional		$144.37	$167.17	$323.57
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.23 / $28.06 / $51.77	Professional	26	$24.23	$28.06	$51.77
United Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $189.80 / $681.07	Professional		$58.35	$189.80	$681.07